Even though a certain percentage of these women do come with spontaneous labour, majority require some form of labour induction. Labour must be induced once the patient is initiated on MgSO4 therapy. In the absence ABSTRACT Background: To study the association between cervical favorability at admission and maternal, perinatal outcome. To study the association between mode of delivery and maternal, perinatal outcome in eclampsia.
Methods:This was a retrospective cohort study carried out in a tertiary hospital. All women (92) admitted with antepartum eclampsia from April 2015 to April 2016, with >32 weeks gestation, reassuring foetal heart and no other complications were included in the study. They were divided into two cohorts delivery, maternal and perinatal outcomes were compared between the two groups. Results: Group with favourable cervix achieved higher vaginal deliveries. Perinatal mortality and morbidity were significantly higher in patients with unfavourable cervix (mortality 39.6% and 20.5% respectively, p: 0.046: morbidity 25.6% and 7.8% respectively, p: 0.033), more so in vaginal delivery (RR 2.355). However there was no significant difference in maternal morbidity. Higher induction-to-delivery interval was the major contributory factor. Conclusions: Perinatal outcome was worse in patients with unfavourable cervix at induction. This can be attributed to increased induction to delivery time and vaginal route of delivery. Prolonged induction should be avoided in eclampsia.
Background: Medical education has experienced a sea of change in the last decade. Covid- 19 pandemic has catalysed a drastic change in the
learning experience from traditional classroom teaching to virtual education. Methods:After 4 months of online teaching at our institute, an online
survey based research study was conducted on the perceptions of students and faculty of our department about online teaching. Results:Atotal of
215 students consented to participate. 63.72% felt that the clarity of presentation and audibility was good. 25.11% of students faced major problems
with net connectivity. However 51.1% felt that their interaction with other students was less and 27.4% felt that their interaction with faculty was
less in online classes when compared to traditional class room.34% were satised and 41.8% gave an equivocal response to satisfaction with online
teaching. 12 faculty members participated in the survey. 58.33% of the faculty felt condent in meeting the technical demands of online
teaching.41.66% opined that the level of student participation was less in online class. 66.66% experienced difculty in keeping their students
involved in the online class. 83.33% appreciated the institutional support. 91.66% of the faculty enjoyed their new experience of teaching online.
Conclusion:The students appreciated the efforts of the faculty and management in imparting education virtually as a viable option in the pandemic
time. Teachers also echoed the same opinion. Blended learning could be used to enhance and complement the formal face to face teaching in
medical education in the years to come.
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